Loading...
Permit 71 p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT _ COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00322 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/20/2008 PARCEL: 2S 113B0 -00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT: JURISDICTION: TIG PROJECT: CLEAN WATER SERVICES Project Description: Low voltage for access control. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: • INSTRUMENTATION: OTHER: ACCESS X TOTAL # OF SYSTEMS: 1 Owner: Contractor: CLEAN WATER SERVICES SONITROL PACIFIC 2550 SW HILLSBORO HWY 8220 N. INTERSTATE AVE. HILLSBORO, OR -9379 PORTLAND, OR 97217 Phone: 503 -681 -3600 Contact #: PRI 503- 223 -5822 FAX 503- 973 -7773 Reg #: ELE 26- 370CLE FEES LIC 53535 Description Date Amount SUP 3628LEA [ELPRMT] ELRPermit 11/20/200E $75.00 [TAX] 12% State Surch 11/20/200E $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 • • • • 1.800.332.2344. Issued By: ...., � � 11111. Permittee Signature: 5..e_P . c�n r44/ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous.place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . NOV-20-08 01:46 PM SONITROL-PORTLAND 9737773 P.01 C6 Q zoos '•e5e-)3 '2-7) • j Electrical . '7 '., .;.,_'` , i• • .,, .. 7 JL... .':, .1 . re ' :.•:v , !' '. .,, '''.:, ,■,..,':, ' i',.:..-2;510.70,1e'rtV.i: Permit Application - .,., - - c--- D ,-, , .4s.. (.. it) of Tigard • , n, , 'V' , 131.2 SIV I loll lilvd., Tigard, OR 9721.7 ' ' . L: f 11 1 1 1 50.3,639,4171 Fax: 503 598,1 oll , r . ., ,-- ... (31VVil • Mil !,.. ...... Itr-..C11.. Pi , 0 Km Rcvicw bi n7r.6o . t2p1 ,2L 0111t1 VerIllit: i ra i t' 1 110 ,.,, A 4 14 1411 1.0 , In.spuitiori 1 .iiie.• ().39.4 75 \I 0 \I PI " D'Ilo Mc:lily/13y Jlil IS . ..--. lia See Page 2 fur 4Attallitatallt Internet: ww%■'urLI-or.gov 10:01ied/Ntlatlied: 7-C° Supplemental Information 1 „;',..4,;;: .. .. .!' ' TYPE OF WOKle., ' : • trit iViS 4. ',. ---7--7.-.7---71;111AN--1-2E-V-1:ENV-77.:-.,7-:....,;;A , .:"... ‘,,. 1 ---- --------.-- .4-• ,,,, 0 New cOnstruction IR AdditioniuherativitisitoP '-' eh,. clictit all that apply (submil Z a p suld ln a wiitunia chucked below); 0 Sav am B ice ur feeder 400 ps or more 0 uilding (ma tine sloriga. . 0 DC1710 I ilion 0 Other whcry Ow 4,4,141111., 1111.01Quricill 0 kl:IIIIIaS if lid ho.ityanly. i . 41*•':...':„,,;•.'..• ,, ... CATECOR1' OF CONSTRUCTION : exceeds 10,000 amps al 150 "(lt. or 0 1111,41ing huiliihmx. ! • • L, , . .• '.:, , ::.. . -.- los to gruund, or cm:reds 14,000 0 CumnIcrQiul•Qc agriculturui 0 i . und 2-1amily dwelling i 0 Accessory building =pi filr all whet inmallatinits. buildings. P Multi-fumily 0 Master builder 17 Other 0 Fire II I, mo. 0 Inslailation of 75 KVA or ;....41.71 y,leml . ar dertved ritern • . '' 1' JOB SITE INFORMATION AND L M OCATION . .' 1:11:11108viw x El Addlliffii a II 1110(1)1 io,,,i or t ,iepal:Iti.'ly :i. i .. -- ' 1001.1 or mole. oc:‘,FLowy. Job no,: pos, Job site tiddress: I (peg) .5W ? 4 - .. i .. P .„ ,„ 0 SiN 07 mow Ali\1kki141 tmiii. 0 Krcivatimv,11 ycllik:Ic poks, C/'. /P --ri ap..n9Lo 4 _ C.) 1?. c1'7 .9. Li 0 )1,aiiii..re thoilititN. 0!;upply voltage fhr more nun i 1' 0 I livardnu,, Itn:Ations. ism , ,,,it s cuo1101611, ■ , . p Sri t. ur feeder ti00 amps or inure. I Suite/bldg./apt, no.; T pro.i eel romc: c t i • , " • - • ... ,' . FF.E SCHEDULE • .:H. .,'.-,..i. I • Cross suet:I/directions to job sit: '"T n. _ . _) u it „, t ,, Doreripilori _17.74.-i „.....tm... J., T'nul __- . , -. _-__.....................-......„, . ..............__--__. . Now roittelittat Nunglc. or multi-lattilly dwelling unit. Includes: attached garage. 1 -..... , Subdivision -- ' ] Lot no ..-- 1,00 sq. (1. or LIM 145,15 4 I : .: 0 -- --------- Ea, atki'l 500 still. or portion 33.40 - - 1 ' I Tax map/pareel no.: Limited energy, residential .,. . -- - '.'..41( .,,..:.. • • • . • ' DESCRIPTION OF WORK ' . • ' -- . . (with - above biLE).._ ... 75.00 2 , ..__--....... ......,....4.4(..e.s_s___0_Asl__.c-or 00 2 _ _g_,5t-til Limited energy, mulli-family (iri resideotiellAwillt above sti, ill 75. - - i - Services or feeders I witailation alteration. and/or relocation --, - , 200 unipi or less 80 Id 2 _-- _______...., .. .... ... ..0 PROPERTY OWNER ' • . 0 TENANT . . . . : • 201 amps to 400 4n _ 100.85 ' 2 . .. _ .. _ _......_ .._______ - 401 amps to 000 amps 100,00 2 1 ! Name: - -- ___............,,., --. ..---- 601 amps to 1 ' 000 aropi --. - 240.00 2 . . _ Address: OVU 1 pm) amps to' volts 454.05 2 -- 1 !' ----- ''''• - Temporary aervitcs or feeders Installation, alteration, and/ r I City/Stat ez i I)! . ,. ____ relocation . . Phone: ( ) Fax ( ) 200 amps or less ----- 66.85 1 l ps u 40 aps Owner installation: This installation iS being made on properly that I own which is not 1- 201 umt0m . • ___ .... 1000 ................_.................... , .....---- .„ amps to .5(/s 5 ! I intended for sale. lease, rent, ur exchange, according to ORS 447, 449, 670, and 70 401 9 amp 133.7 2 Ilra rich circuits - new or extension,_per panel ! ! Owner signature: Date: -,...,. A. Fee for brunch ir cCliit S kcith . • '•‘,q ,' -.....- • 0 APPLICANT ., ' , . • El CONTACT PE - :-: above service or lLedo! lee, 0.05 2 each branch circuit Business name B. Fee for branch circuits I .: ___ ,.......--- williont service or feeder fee, Coot nanle. lust branch circuit 46.85 2 - - - Address: Each aild‘l branch circuit 1 0.05 2 .: ••; - - Miscellaneous berylee or feeder not Included) City/State/Z1P; Each manufactured or modular 40.90 2 . ! - -- ... ---- dwelling, service and/or feeder Phone! ( ) I Fax; : ( / Reconnect only 06,85 2 . •j _ - ..,.... --- E-mail' 1 111 irrinution circle 53.40 2 ' !;:ra''/,;•..," -. ..- - . :: . CONTRACTOR • ' ' ' Sign ttr ouitine iighting 53.40 2 !. ,-----------______ .._ - Signal cireut() or limited- t Business n)me: r2/1...i_reil 1?0„CLi ' ift. entny panel, alteration, or Address A .___,..........._3_01......X_..i.7,_ .7.71....._. ..... 7.v,e.z.- - .._. ,......_ . V4.-. extension. Describe: Page 2 2 ' . • 1 : .......- -._ - C(ty/State/7.1P ,..\ crva c--7 Each additional 0141)0110o nver allowable ip 811111r I he abnve Per inspection 62.50 , i . q 3- Dr/ S I -. . • -=•■■ Investigation per hour li lit utitt) ,............ _62 _ ' . CC,B1.,ic.: lb% 53 5 Electrical Lie.: . .... leiG T;; Suprv, Lie,: SSC', I..„E Pt Indinarial plant pet hour 73,75 --------------- ----- ill -- : !..'• ': . ''''''': > ELECTRICAT; PER I F ,, ES:::;44 , Suprv. Electrician signature, required: 4.1 It Subtutul: 1 '. v ....._......,. 1.4. Pini, review (25% ot permit 1 ' Print MAW: Cvo r ( 1,.. 0 , 6 _ D C iic Date: 11 -.or __ ______.- State sureiturge 2% _ of peentit rue). . . 41 . cro i ..• :: ....... _.........__ Authorized Signature: TOTAL. PVRM1T FEE: (3,14. oc:, . 1 This permit application explrea If a permit Is not obtained ttiltbln 180 Print name: 1 1)ate: ilayit alb:ail has been accepted WI complete. ''''''' - • Number of inspectious allowed per permit i • 1 %Building ,l'crmhli 1'• V., wil App 1., )..2!/(11, 440 lilIKOMIWEB NOV -20 -08 01:47 PM SONITROL— PORTLAND 9737773 P.02 • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: g$IDENTIAL,WORK ONLY • Fee for AU residential systems combined ... $75.00 Check Type of Work Involved: ❑ Aud c> ,uid Ste rco Syatcnls j a ❑ 13urltlar Alarm { ❑ carap, 1 )oor ( )11Cncr n !leafin Ventilation and Air Conditioning System* ❑ vacuum Sy;ic'tns* ❑ Other: _______ ,C,4") WORK ONLY: Pee for =h commercial $75.00 • system (SEE OAR 91 8-309 Check Type of Work Involved: ❑ Audio and Srcreo S•stems ❑ Boiler Controls ❑ chick Systails n 1)a tct 1 1 'urtununicilic.i 1nst,il1211011 ❑ Fire Alarm Installation ❑ IIV.\( I ❑ In trumentation i ' ❑ Intercom and Paging Syslcm!.; ❑ Landscape 1rrigari.,n Control* ❑ Medical ❑ Nur±c (.'ally ❑ Outdc,ot Lnndscalx' lighting* ❑ Profec•tive Signaling i l _ Other C�..kQ 0,,000■bs t�.0 N.•"V o Ti,tal number 4,r commercial systems. .., .. • *No licenses are required. Licenses are required for 011 ocher installations i I I SEP -22 -2008 12 33 HSE MECHANICAL 503 924 1300 P.01/02 , A4 ,-- fri) : ,.A D h r‘ , .. �; - ��68 +K' '. ! ... STING P? WS -AW WA, . CJKIR"I,OW ASSEMBLY TEST REPORT ❑ REMOVED 1 /�© REPLACEMENT PROPERTY '� C I� / PHONE:�I 7/ 2i 9 OWNER: _ MAILING ..6•„(.... v 0 Lz � . ADDRFSS: J, .. ' //�� CITY ..�— STATER r ZIP ` 9. • ASSEMBLY L. ADDRESS: ,. ri } STREET i �R.P.B.A. ©•U- C.V.A. © R.P - 0.A ❑ 4 D.0 - D.A ❑ P.V.B.A. 0 S.V -BA. / q A-V.B. 0 AIR GAP SIZE: . MAKE: t Lj 1r ri c.0 MODEL.: `C ;7r WATER —r-- SERIAL I ("T f ? L y L t PURVEYOR: W `C OA" NUMBER: ASSEMBLY r LOCATION: . • -1.- _. • m��' . REDUCED PRESSURE .ASSEMBLY P.V.B.A. / S.V.B.A. INITIAL ST • tR S EC "s : AIR CHECK PASSED �+ • PREr;SDROP 9'7 (A)1 CHECK #1 �� INLET FAILED Q iN I'IAL RELIEF VALVE (B)ITIGHT OPENED Alt PRESS PROP DATE: .LEST OPENED AT MIN z LEAKED ❑ PS1D 7 Ai /OF RESULTS BUFFER 1 CHECK #2 PSID PSID A - B= MIN 3 P ,TIGHT K DID NOT FAILED SYSTEM RELIEF -VALVE F PSD OPEN 0 0 PSI • PASS FAIL 0 LEAKED i.-1 COMMENTS • ,42 9 sg REPAIRS AND /OR PARTS Q C:/ /(..� ,oe . _,..,....., RIMMED PRESSURE MBLY P.V.B,A. /S.V.B.A AFTER REPAIRS MI CM£Cx (A) +�F.. °�'•: DATE' PRESS DROP C HECK #1 TEST RELIEF ( OPENED Al' PRESS DROP / / AFTER OPENED OP TIGHT 0 PSID • REPAIRS UPPER 'm'='"° CHECK #2 PASSED ❑ A -B■ ,m,,,., I F1GIiT El PSID PSID Psro IN COMPLETING AND SUBMITTING THIS TEST REPORT, THE TESTER CERTIFIES THAT THE ASSEMBLY HAS BEEN TE.TrEo AND MAINTAINED w ACCORDANCE WITH ALL APPLICABLE • i RULES AND 'REGULATIONS Of THE WATER SYSTEM. AND STATE REGULATIONS, • GAUGE CALIBRATION DATE I 4- // E ,DETECTOR METER READING 4/ • TES SIGNA ���! CE Tr 020 TESTERS NAME P' _ 'L:Y ri Mr ‘�- T • � 'V J q PHONE M T$ST'ERS AD N P { Sri W'vi1 � t C"1.. • COMPANY NAME — /���4 � RESTORED REPORT RECEIVED BY: d EIEN of OMN£R) • . wart �Wita Sysma CE9y PINK - Data= Copy YELLOW - Tater Copy . • • • '8 . __ • INSPECTOR'S SIGNATURES ARE NOT • Inspections Required for: fx-Ri„11A-tx. REQUIRED ON GREEN INSPECTION CARD. l/ Code I Inspection Description PASS Date I By I l/ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing . ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry ( 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper • 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: • 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345. Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07